If all members of your family have followed the regular vaccination schedule, you may still need an additional vaccine for a trip to Cuba. The recommended vaccine for travel to Cuba is Twinrix, which protects against hepatitis A and hepatitis B. This vaccine is not included in the regular vaccination schedule for adults, so it would need to be administered separately. For children, the vaccination for hepatitis A and B typically includes a final dose in the 4th grade and another dose between 14 and 16 years old. It is recommended to consider getting these vaccines earlier if traveling to a country like Cuba where these diseases are common. It is advised to consult with your local pharmacy or healthcare provider for more information on vaccinations and medications needed for travel. It is recommended to do this at least 1 month before your trip.